Adverse Social Determinants of Health in Children with Newly Diagnosed Type 1 Diabetes: A Potential Role for Community Health Workers
Authors' conclusion
There is a high prevalence of adverse SDOH in families from lower socioeconomic status at the time of diagnosis of pediatric T1D. These SDOH have a significant impact on families' abilities to care for their children. Preliminary data suggest that CHWs can be a facilitator to the diabetes care. This trial is
Study context
- Population
- Caregivers of youth <17 years with new-onset T1D and government insurance at diagnosis
- Participants
- 17 caregivers
- Comparison
- Community health worker vs no CHW
- CHWn = 10
- Outcome
- Prevalence and impact of adverse social determinants of health (SDOH) on diabetes care after diagnosis of pediatric T1D, and potential supportive role of a CHW
- Follow-up
- Interviews at 3 months after diagnosis
Methodological detailssemistructured interviews, randomised assignment to CHW
- Semistructured interviews
- Randomised assignment to CHW
Main finding
As reported in the abstract
Adverse SDOH needs at enrollment
- Caregivers identifying at least one social determinants of health (SDOH) need
- Two-thirds
- Caregivers identifying two SDOH needs
- 35%
Further findings
Role of CHW · 3 months after diagnosis
- Hospital-to-home transition improved for families working with a CHW; CHW identified as a strong source of support
Original publication
Adverse Social Determinants of Health in Children with Newly Diagnosed Type 1 Diabetes: A Potential Role for Community Health Workers. Pediatr Diabetes. Published 23 January 2024. doi:10.
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